<%@ Page Language="VB" MasterPageFile="~/MasterPage.master" AutoEventWireup="false" 
CodeFile="Add_Contact_Provider.aspx.vb" Inherits="Admin_Add_Contact_Provider" title="CIMS" %>
<%@ Register Assembly="AjaxControlToolkit" Namespace="AjaxControlToolkit" TagPrefix="ajaxToolkit" %>

<asp:Content ID="Content1" ContentPlaceHolderID="ContentPlaceHolder1" Runat="Server">
    <br />
    <table border="0" cellpadding="0" cellspacing="0" width="800">
        <tr>
        <td align="left" style="font-weight: bold; font-size: 10pt; font-family: Arial;">
            Contact Details</td>
        </tr>
    </table>

    <table border="0" cellpadding="0" cellspacing="0" width="800">
        <tr><td style="font-size: 3px; background-color: #105BA4; height: 3px;"></td></tr>
    </table>

    <table border="0" cellpadding="0" cellspacing="0" width="800">
    
    <tr><td>

        <table border="0" cellpadding="0" cellspacing="0" width="100%">
        <tr><td style="height: 49px">
            <table border="0" cellpadding="0" cellspacing="0" width="100%">
            <tr>
                <td style="font-size: 10pt; font-family: Verdana; width: 110px; height: 30px;" align="left">
                    &nbsp;Provider Name:</td>
                <td style="width: 200px; height: 30px" align="left">
                    <asp:TextBox ID="Name_txt" runat="server" Width="186px" Enabled="False" MaxLength="20"></asp:TextBox></td>
                <td style="font-size: 10pt; font-family: Verdana; width: 110px; height: 30px;" align="left">
                    </td>
                <td style="width: 380px; height: 30px" align="left">
                    </td>
            </tr>
            </table>            
        </td></tr>
        </table>
            
    </td></tr>
    
    <tr><td>
        <table border="0" cellpadding="0" cellspacing="0" width="100%">
        <tr><td>
        <table border="0" cellpadding="0" cellspacing="0" width="100%">
        <tr><td>
            <table border="0" cellpadding="0" cellspacing="0" width="100%">
            <tr>
                <td style="font-size: 10pt; font-family: Verdana; width: 110px; height: 30px;" align="left">
                    &nbsp;Name:</td>
                <td style="width: 690px; height: 30px;" align="left">
                    <asp:TextBox ID="LastName_txt" runat="server" Width="186px"></asp:TextBox><asp:TextBox ID="FirstName_txt" runat="server" Width="304px"></asp:TextBox><asp:TextBox ID="MiddleName_txt" runat="server" Width="176px"></asp:TextBox></td>
            </tr>
            </table>            
        </td></tr>
        </table>            
    </td></tr>

    <tr><td>
        <table border="0" cellpadding="0" cellspacing="0" width="100%">
        <tr><td>
            <table border="0" cellpadding="0" cellspacing="0" width="100%">
            <tr>
                <td style="font-size: 10pt; font-family: Verdana; width: 110px; height: 30px;" align="left">
                    &nbsp;Position:</td>
                <td style="width: 690px; height: 30px;" align="left">
                    <asp:TextBox ID="Position_txt" runat="server" Width="186px"></asp:TextBox></td>
            </tr>
            </table>            
        </td></tr>
        </table>            
    </td></tr>
                
        <tr><td>        
            <table border="0" cellpadding="0" cellspacing="0" width="100%">
            <tr>
                <td style="font-size: 10pt; font-family: Verdana; width: 110px; height: 10px;" align="left"></td>
            </tr>
            </table>
        </td></tr>
        
        <tr><td>
        
            <table border="0" cellpadding="0" cellspacing="0" width="100%">
            <tr>
                <td style="font-size: 10pt; font-family: Verdana; width: 110px;" align="left">
                    &nbsp;Telephone No:</td>
                <td style="width: 200px" align="left"><asp:TextBox ID="T1_txt" runat="server" Width="186px" MaxLength="20"></asp:TextBox></td>
                <td style="font-size: 10pt; font-family: Verdana; width: 110px; height: 12px;" align="left">
                    &nbsp;Mobile No:</td>
                <td style="width: 380px; height: 12px;" align="left"><asp:TextBox ID="M1_txt" runat="server" Width="184px" MaxLength="20"></asp:TextBox></td>
            </tr>
            </table>
            
        </td></tr>
        <tr><td>
        
            <table border="0" cellpadding="0" cellspacing="0" width="100%">
            <tr>
                <td style="font-size: 10pt; font-family: Verdana; width: 110px; height: 24px;" align="left">
                    &nbsp;Office No:</td>
                <td style="width: 200px; height: 24px;" align="left"><asp:TextBox ID="O1_txt" runat="server" Width="186px" MaxLength="20"></asp:TextBox></td>
                <td style="font-size: 10pt; font-family: Verdana; width: 110px; height: 24px;" align="left">
                    &nbsp;Fax No:</td>
                <td style="width: 381px; height: 24px;" align="left"><asp:TextBox ID="F1_txt" runat="server" Width="184px" MaxLength="500"></asp:TextBox></td>
            </tr>
            </table>
            
        </td></tr>
        
        <tr><td>
            <table border="0" cellpadding="0" cellspacing="0" width="100%">
            <tr>
                <td style="font-size: 10pt; font-family: Verdana; width: 110px; height: 28px;" align="left">
                    &nbsp;Email:</td>
                <td style="width: 200px; height: 28px" align="left">
                    <asp:TextBox ID="Email_txt" runat="server" Width="186px"></asp:TextBox></td>
                <td style="font-size: 10pt; font-family: Verdana; width: 110px; height: 28px;" align="left">
                    </td>
                <td style="width: 380px; height: 28px" align="left">
                    </td>
            </tr>
            </table>            
        </td></tr>

        <tr><td>
        
            <table border="0" cellpadding="0" cellspacing="0" width="100%" style="height: 40px">
            <tr>
                <td style="width: 540px; height: 40px;" align="center"></td>            
                <td style="width: 130px; height: 40px;" align="center"><asp:Button ID="Save_btn" runat="server" Text="Save" 
                    BackColor="Gainsboro" Font-Names="Verdana" Width="80px" /></td>
                <td style="width: 130px; height: 40px;" align="center"><asp:Button ID="Cancel_btn" runat="server" Text="Back" 
                    BackColor="Gainsboro" Font-Names="Verdana" Width="80px" CausesValidation="False" /></td>
            </tr>
            </table>
            
        </td></tr>
        <tr><td>        
            <table border="0" cellpadding="0" cellspacing="0" width="100%">
            <tr>
                <td style="font-size: 10pt; font-family: Verdana; width: 110px; height: 3px;" align="left"></td>
            </tr>
            </table>
        </td></tr>        
        </table>
    </td></tr>

    </table>
    <ajaxToolkit:TextBoxWatermarkExtender ID="LastName_TBWM" runat="server" Enabled="true"
        TargetControlID="LastName_txt" WatermarkCssClass="WaterMk" WatermarkText="Last Name">
    </ajaxToolkit:TextBoxWatermarkExtender>
    <ajaxToolkit:TextBoxWatermarkExtender ID="FirstName_TBWM" runat="server" Enabled="true"
        TargetControlID="FirstName_txt" WatermarkCssClass="WaterMk" WatermarkText="First Name">
    </ajaxToolkit:TextBoxWatermarkExtender>
    <ajaxToolkit:TextBoxWatermarkExtender ID="MiddleName_TBWM" runat="server" Enabled="true"
        TargetControlID="MiddleName_txt" WatermarkCssClass="WaterMk" WatermarkText="Middle Name">
    </ajaxToolkit:TextBoxWatermarkExtender>
    &nbsp; &nbsp;
    <asp:RequiredFieldValidator ID="rfv1" runat="server" ControlToValidate="Name_txt"
        ErrorMessage="Provider Required" ForeColor="White" Text="."></asp:RequiredFieldValidator>
    <asp:RequiredFieldValidator ID="rfv2" runat="server" ControlToValidate="FirstName_txt"
        ErrorMessage="First Name Required" ForeColor="White" Text="."></asp:RequiredFieldValidator>
    <asp:RequiredFieldValidator ID="rfv3" runat="server" ControlToValidate="LastName_txt"
        ErrorMessage="Last Name Required" ForeColor="White" Text="."></asp:RequiredFieldValidator><asp:ValidationSummary
            ID="ValidationSummary1" runat="server" ShowMessageBox="True" ShowSummary="False" />
    <asp:RegularExpressionValidator ID="revEmail" runat="server" ControlToValidate="Email_txt"
        ErrorMessage="Invalid Email Format" ForeColor="White" ValidationExpression="\w+([-+.']\w+)*@\w+([-.]\w+)*\.\w+([-.]\w+)*">.</asp:RegularExpressionValidator>
    <ajaxToolkit:ValidatorCalloutExtender ID="ValidatorCalloutExtender1" runat="server"
        Enabled="True" TargetControlID="rfv1">
    </ajaxToolkit:ValidatorCalloutExtender>
    <ajaxToolkit:ValidatorCalloutExtender ID="ValidatorCalloutExtender2" runat="server"
        Enabled="False" TargetControlID="rfv2">
    </ajaxToolkit:ValidatorCalloutExtender>
    <ajaxToolkit:ValidatorCalloutExtender ID="ValidatorCalloutExtender3" runat="server"
        Enabled="False" TargetControlID="rfv3">
    </ajaxToolkit:ValidatorCalloutExtender>
    <ajaxToolkit:ValidatorCalloutExtender ID="ValidatorCalloutExtender4" runat="server"
        TargetControlID="revEmail">
    </ajaxToolkit:ValidatorCalloutExtender>
</asp:Content>